Healthcare Provider Details

I. General information

NPI: 1437728284
Provider Name (Legal Business Name): AUSTIN OSTEOPATHIC MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 11/21/2021
Certification Date: 11/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 BEE CAVES RD STE 308
WEST LAKE HILLS TX
78746-5284
US

IV. Provider business mailing address

4611 BEE CAVES RD STE 308
WEST LAKE HILLS TX
78746-5284
US

V. Phone/Fax

Practice location:
  • Phone: 512-638-2979
  • Fax:
Mailing address:
  • Phone: 512-638-2979
  • Fax: 866-466-6438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SASKIA LYTLE-VIEIRA
Title or Position: PHYSICIAN OWNER
Credential: D.O.
Phone: 512-638-2979